TY - JOUR
T1 - From Mexico to Mali
T2 - progress in health policy and systems research
AU - Bennett, Sara
AU - Adam, Taghreed
AU - Zarowsky, Christina
AU - Tangcharoensathien, Viroj
AU - Ranson, Kent
AU - Evans, Tim
AU - Mills, Anne
N1 - Funding Information:
Funding for HPSR can come from many sources: international and domestic research funding bodies, ministries of health, and international donors. Such funding can be assigned to research institutions either through core grants, which are designed to provide broad institutional support, or through project-specific funding, which is often awarded on a competitive basis. HPSR is a public good and its outputs have little commercial value; therefore, public-sector funding is crucial.
Funding Information:
The renewed interest in health systems has manifested itself in new funding streams (such as those for health-systems strengthening through the Global Alliance for Vaccines and Immunizations [now known as the GAVI Alliance], and the Global Fund to fight AIDS, Tuberculosis, and Malaria), and new initiatives (such as the Canadian-Funded Catalytic Initiative, the Norwegian Government Support to the Results-Based Financing Initiative, and Providing for Health, which is supported by Germany and France). Many of the initiatives are linked under the International Health Partnership, which also has a strong focus on health systems. Furthermore, several health-systems partnerships have recently emerged, including the Health Metrics Network and the Global Health Workforce Alliance. Finally, recent articles have called for intensified investment, methods development, and capacity building in the assessment and research that accompanies health-systems investment and, ultimately, strengthens implementation processes. 21–23 However, to what extent the actions of agencies and governments have lived up to the recommendations of the summit in Mexico has been unclear.
PY - 2008
Y1 - 2008
N2 - In 2004, the ministerial summit in Mexico drew attention to the historic neglect of health policy and systems research (HPSR) and called for increased funding, investment in national institutional capacity for HPSR, and resources for selected priority research topics. On the basis of meeting discussions, published reports, and available data from research funders and organisations in low-income and middle-income countries, we discuss how HPSR has evolved since the summit in Mexico. Funding for HPSR, particularly in low-income countries, is mainly supported by international and bilateral organisations. Increased interest in health systems has translated into increased support for HPSR. However, small grants and lack of coordination between funders inhibit capacity development, and substantial gaps remain between institutional capacities of high-income and low-income countries. Lack of national capacity is judged to be the key constraint to the development of HPSR. Recommendations from the summit in Mexico remain pertinent, and momentum towards their achievement must be accelerated through the ministerial forum in Mali and beyond.
AB - In 2004, the ministerial summit in Mexico drew attention to the historic neglect of health policy and systems research (HPSR) and called for increased funding, investment in national institutional capacity for HPSR, and resources for selected priority research topics. On the basis of meeting discussions, published reports, and available data from research funders and organisations in low-income and middle-income countries, we discuss how HPSR has evolved since the summit in Mexico. Funding for HPSR, particularly in low-income countries, is mainly supported by international and bilateral organisations. Increased interest in health systems has translated into increased support for HPSR. However, small grants and lack of coordination between funders inhibit capacity development, and substantial gaps remain between institutional capacities of high-income and low-income countries. Lack of national capacity is judged to be the key constraint to the development of HPSR. Recommendations from the summit in Mexico remain pertinent, and momentum towards their achievement must be accelerated through the ministerial forum in Mali and beyond.
UR - http://www.scopus.com/inward/record.url?scp=54849417585&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=54849417585&partnerID=8YFLogxK
U2 - 10.1016/S0140-6736(08)61658-X
DO - 10.1016/S0140-6736(08)61658-X
M3 - Comment/debate
C2 - 18984191
AN - SCOPUS:54849417585
SN - 0140-6736
VL - 372
SP - 1571
EP - 1578
JO - The Lancet
JF - The Lancet
IS - 9649
ER -